Waldon, Michael E

Waldon, Michael E is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Waldon, Michael E can be contacted via phone (817) 569-4396.

Contact Information

Primary practice address
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277
Phone: (817) 569-4396
Fax: (817) 569-4517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S30270 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X S30270 Texas

Profile Details

NPI number 1205999604
LBN Legal business name Waldon, Michael E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205999604 NPPES
Texas Other 89640Q BCBS
Texas MEDICAID 040213302 BCBS
Texas MEDICAID 040213301 BCBS

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